Chumnguh Thleum: Understanding Liver Illness and Hepatitis B Among Cambodian Immigrants
Chumnguh Thleum: Understanding Liver Illness and Hepatitis B Among Cambodian Immigrants
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DOI：
10.1007/s10900-010-9277-y
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发表时间：
2011-02-01
影响因子：
5.9
通讯作者：
Taylor, Victoria M.
中科院分区：
文献类型：
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作者：
Burke, Nancy J.;Do, Hoai Huyen;Taylor, Victoria M.
柬埔寨移民有慢性B型肝炎感染证据的可能性比一般美国人口高25倍以上。乙肝病毒携带者患肝癌的可能性是非携带者的100倍以上。肝癌发病率是柬埔寨男性的第二大癌症，是柬埔寨女性的第六大癌症。尽管如此，这一服务不足的人群很少受到健康差距研究人员的关注。文化和语言上适当的干预措施是必要的，以增加B型肝炎的知识，血清学检测，并在柬埔寨的美国人接种疫苗。八组采访了柬埔寨美国男子（48）和妇女（49）。焦点小组讨论揭示了参与者对B型肝炎传播、病程以及预防和治疗的理解受到社会文化影响的意外信息，这些信息是由高棉医学、生物医学和移民经历的体液理论提供的。我们的研究结果揭示了定性探索的价值，为生物医学信息提供文化背景，这是一种有效的健康促进和实践的公式。
Cambodian immigrants are over 25 times more likely to have evidence of chronic hepatitis B infection than the general US population. Carriers of HBV are over 100 times more likely to develop liver cancer than non-carriers. Liver cancer incidence is the second leading cancer for Cambodian men and the sixth for Cambodian women. Despite this, this underserved population has received very little attention from health disparities researchers. Culturally and linguistically appropriate interventions are necessary to increase hepatitis B knowledge, serologic testing, and vaccination among Cambodian Americans. Eight group interviews were held with Cambodian American men (48) and women (49). Focus group discussion revealed unanticipated information about sociocultural influences on participants' understanding about hepatitis B transmission, disease course, and prevention and treatment informed by humoral theories underlying Khmer medicine, by biomedicine, and by migration experiences. Our findings reveal the value of qualitative exploration to providing cultural context to biomedical information-a formula for effective health promotion and practice.